| NPI | 1891335451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA OT14780) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OT14780) |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2025-02-21 |