| NPI | 1821008483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 0334) |
| Additional Taxonomies | 2083X0100X Preventive Medicine Occupational Medicine (Licence: NC 0334) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2011-05-06 |