| NPI | 1639399355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: CA OT2165) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: CA 2165) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2021-12-02 |