| NPI | 1770825135 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: IL 056.009192) | 
| Additional Taxonomies | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: IL 056.009192) | 
| Enumeration Date | 2013-03-25 | 
| Last Update Date | 2013-03-25 |