| NPI | 1043354038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA OT8148) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056006510) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-10-08 |