NPI | 1649713017 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AZ 008151) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AZ 6925) |
Enumeration Date | 2016-12-02 |
Last Update Date | 2022-07-26 |