| NPI | 1841274750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA OT10705) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 5029) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2022-11-03 |