NPI | 1306118336 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 18508) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056-009640) |
Enumeration Date | 2012-02-07 |
Last Update Date | 2021-07-02 |