| NPI | 1902880115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA OT 3949) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: CA OT 3949) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2019-07-01 |