| NPI | 1932461985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NV 15-0631) |
| Additional Taxonomies | 225XN1300X Occupational Therapist Neurorehabilitation (Licence: NV 15-0631) |
| 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: NV 15-0631) | |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2020-03-24 |