| NPI | 1982722724 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 4232) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 9537) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2026-05-13 |