| NPI | 1689341588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: MN 106610) |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2021-08-27 |