| NPI | 1922541929 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: KS 18-01216) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MO 2015028970) |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2016-11-22 |