| NPI | 1801064977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT26186) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KS 1701636) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2025-10-26 |