| NPI | 1760448831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist Hand (Licence: WA 60333219) |
| Additional Taxonomies | 225XH1200X Occupational Therapist Hand (Licence: TX 110486) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2024-05-03 |