| NPI | 1992919245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31004513A) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC009996) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2008-10-03 |