| NPI | 1891298055 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 121749) |
| Additional Taxonomies | 2472B0301X Technician, Other, Biomedical Engineering |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2023-02-23 |