| NPI | 1629487244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: CA 4307) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 18882) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2022-07-17 |