| 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 |