| NPI | 1952817561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2023016977) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056015810) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2023-12-12 |