| NPI | 1649217068 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist Hand (Licence: PA OC008034) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC008034) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2009-07-31 |