| NPI | 1740342245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: MO 2011017085) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: KS 17-02145) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2015-04-08 |