| NPI | 1922055474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056-003003) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IA 00605) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2012-04-12 |