| NPI | 1689358277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT006225) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA OT006225) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-12-11 |