| NPI | 1639370984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056002647) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN 31001679A) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2007-07-08 |