NPI | 1871722496 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 10488) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 10488) |
Enumeration Date | 2009-07-02 |
Last Update Date | 2009-07-02 |