NPI | 1811553472 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 08448) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: DC 0T010001475) |
Enumeration Date | 2019-05-18 |
Last Update Date | 2019-05-18 |