| NPI | 1871952945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 5666-26) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056-008589) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-18 |