| NPI | 1831385368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 3267-26) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: WI W160000601398 (DPI)) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2007-09-18 |