| NPI | 1396214714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 8021) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056.012675) |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2024-07-23 |