| NPI | 1801854948 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist Hand (Licence: AZ 3882) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AZ 3882) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2013-04-16 |