| NPI | 1821575861 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: DE U1-0001915) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: DE U1-0001915) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2020-09-16 |