NPI | 1609034255 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AZ OTH-004134) |
Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: AZ OTH-004134) |
Enumeration Date | 2008-05-30 |
Last Update Date | 2023-05-25 |