| NPI | 1740531680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: UT 13444720-4201) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: CO 3290) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2023-10-04 |