| NPI | 1851006738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MS OT-0965) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN TN-3307) |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2023-01-16 |