| NPI | 1619718566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2024048497) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056016407) |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2025-06-04 |