| NPI | 1073700522 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 3845-026) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056006744) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2013-10-09 |