| NPI | 1467964981 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 8776-26) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056.012159) |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2024-12-22 |