| NPI | 1912456096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31006323A) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT19626) |
| 225X00000X Occupational Therapist (Licence: MI 5201009576) | |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2021-06-17 |