NPI | 1457646556 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056.006578) |
Additional Taxonomies | 174H00000X Health Educator (Licence: IL 056006578) |
Enumeration Date | 2011-06-16 |
Last Update Date | 2023-04-10 |