| NPI | 1992943047 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056008867) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2009001165) |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2022-02-22 |