| NPI | 1992730386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 2814026) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056006853) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2022-04-28 |