| NPI | 1164856530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31005875A) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056.010065) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2015-09-09 |