| NPI | 1720324783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056.003231) |
| Additional Taxonomies | 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: IL 056.003231) |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2012-12-19 |