| NPI | 1346696952 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056005274) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: IL 049.320537) |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2025-10-23 |