| NPI | 1912329319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: TX 107868) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: ID OT-1283) |
| Enumeration Date | 2014-01-20 |
| Last Update Date | 2014-01-20 |