| NPI | 1811181993 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA ot 8772) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN 31004188a) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2016-01-28 |