| NPI | 1730294745 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: NC 14542) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN 31004271A) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2021-11-03 |