NPI | 1629003090 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KS 17-00864) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO OC003368) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2007-07-08 |