| NPI | 1841490679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 04192) |
| Additional Taxonomies | 225XH1300X Occupational Therapist, Human Factors (Licence: MD 04192) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |