| NPI | 1831384551 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 4567) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 1016448) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2007-09-06 |