| NPI | 1003072661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036-122351) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 125048927) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2020-10-21 |