| NPI | 1790410140 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 004196) |
| Additional Taxonomies | 225XE1200X Occupational Therapist, Ergonomics |
| 225XH1200X Occupational Therapist, Hand (Licence: 1051100152) | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation | |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2022-07-20 |