| NPI | 1265931562 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056013025) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN 31006516A) | 
| Enumeration Date | 2018-02-02 | 
| Last Update Date | 2023-09-12 |