| NPI | 1598044851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31001355A) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056-002245) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2017-04-20 |