| NPI | 1710014881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NE 1819) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056007122) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-12-28 |