| NPI | 1417284738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056006386) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IA 01592) |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2009-11-06 |