| NPI | 1811543242 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 25080) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056004512) |
| 225X00000X Occupational Therapist (Licence: FL 13095) | |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2024-03-12 |