| NPI | 1528424660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056.013333) |
| Additional Taxonomies | 225500000X Specialist/Technologist |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2020-08-12 |