| NPI | 1497889596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2004001322) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056005378) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2025-03-21 |