| NPI | 1740468024 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NV 08-0040) |
| 225X00000X Occupational Therapist (Licence: CO 8025) | |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2023-11-08 |