| NPI | 1821774951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31008720A) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056015437) |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2025-06-30 |