| NPI | 1730545385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NH 2514) |
| Additional Taxonomies | 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing (Licence: NH 2514) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2022-06-12 |