| NPI | 1831397637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ID OT-712) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA 60224627) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2019-08-26 |