| NPI | 1740841691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 419597) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: OR 419597) |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2019-06-21 |