| NPI | 1992426936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: AK 197898) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AK 197898) |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2025-10-29 |