| NPI | 1235462854 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056.007751) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: IL 08585) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |