| NPI | 1679863328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 5026) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056.009333) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2011-04-14 |