| NPI | 1942848387 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 6794) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056.011572) |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2020-12-09 |