| NPI | 1649832064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: GA OT007353) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: FL 19924) |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2022-07-29 |