| NPI | 1467824979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056.009323) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 62309) |
| 225X00000X Occupational Therapist (Licence: CA 13414) | |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2015-10-22 |