| NPI | 1194896050 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056005188) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: 1021100586) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |