NPI | 1942757109 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NV 16-0760) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NV 16-0760) |
Enumeration Date | 2016-09-06 |
Last Update Date | 2025-09-18 |