| NPI | 1124757752 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056-014880) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2022-12-15 |