| NPI | 1952671901 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist Hand (Licence: 293813OT) |
| Additional Taxonomies | 225XH1200X Occupational Therapist Hand (Licence: OR 2542) |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2019-04-25 |