NPI | 1669599668 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31005191A) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056006268) |
2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: IL 056.006268) | |
Enumeration Date | 2007-03-23 |
Last Update Date | 2016-09-13 |