| NPI | 1689342388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056-014711) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201011302) |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2022-03-17 |