| NPI | 1730592015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31008495A) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 316029) |
| 225X00000X Occupational Therapist (Licence: NC 8936) | |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2024-09-24 |