| NPI | 1790140093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056010462) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 10918) |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2018-04-27 |