| NPI | 1841543006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31006104A) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SC 4030) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2024-06-10 |