| NPI | 1649339334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 1941-026) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: WI 1941-026) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2012-01-05 |