| NPI | 1881719995 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201006395) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056.006361) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2012-07-20 |