| NPI | 1679572101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056007277) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IA 001866) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2023-05-16 |