| NPI | 1306160676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 7271) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056.008706) |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2021-08-20 |