| NPI | 1528609823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056.013764) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 20496) |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2022-01-03 |