| NPI | 1861479305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist Hand (Licence: MD 04081) |
| Additional Taxonomies | 225XH1200X Occupational Therapist Hand |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2019-10-23 |