| NPI | 1982057402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: IL 056011239) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056011239) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-11-29 |