| NPI | 1649693904 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: WA TL60441380) |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2018-10-02 |