NPI | 1700036043 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IA 002042) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056-008438) |
Enumeration Date | 2008-09-23 |
Last Update Date | 2012-04-11 |