| NPI | 1831738533 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO 0005474) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: CO 0006184) |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2019-12-27 |