| NPI | 1780979187 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056006012) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 056-006012) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2017-01-26 |