| NPI | 1619195567 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225XE1200X Occupational Therapist, Ergonomics |
| 225XN1300X Occupational Therapist, Neurorehabilitation | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-07-08 |