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 |