| NPI | 1982700738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056.006241) |
| Additional Taxonomies | 226300000X Kinesiotherapist |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2007-07-08 |