| NPI | 1619163870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA OT9271) |
| Additional Taxonomies | 225XE1200X Occupational Therapist Ergonomics (Licence: CA OT9271) |
| 225XH1200X Occupational Therapist Hand (Licence: CA OT9271) | |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2007-09-21 |