| NPI | 1457826380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056012736) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN 31006780A) |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2018-10-26 |