NPI | 1639889645 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO OT.0007710) |
Additional Taxonomies | 376K00000X Nurse's Aide (Licence: CO NA.00799646) |
Enumeration Date | 2022-11-30 |
Last Update Date | 2022-11-30 |