| NPI | 1528017720 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 5685-26) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: IL 056007843) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2021-04-02 |