| 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 |