| NPI | 1063035848 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 6769-26) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056.013555) |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-05-27 |