| NPI | 1992152433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056.010353) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL ot17185) |
| Enumeration Date | 2016-05-14 |
| Last Update Date | 2019-08-01 |