| NPI | 1023264272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036.165558) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WI 57336-20) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2023-10-10 |