| NPI | 1699183319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 121211) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN 99062900A) |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2023-09-04 |