| NPI | 1689715708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN OT31002968A) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT8469) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2013-10-30 |