| NPI | 1942853718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2019045077) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 56013563) |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2020-04-07 |