| NPI | 1972079457 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA OT817) |
| Additional Taxonomies | 225XH1200X Occupational Therapist Hand (Licence: CA OT817) |
| 225XH1300X Occupational Therapist Human Factors (Licence: CA OT817) | |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2020-04-13 |