| NPI | 1730380841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: WA OT00000867) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA OT00000867) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2022-03-22 |