| 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 |