| NPI | 1013277938 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056.006087) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 9333) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2012-05-24 |