| NPI | 1700036043 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IA 002042) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056-008438) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2012-04-11 |