| NPI | 1336742352 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056-013656) |
| Additional Taxonomies | 225XH1200X Occupational Therapist Hand (Licence: FL 21359) |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2021-06-29 |