| NPI | 1043289168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070012664) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 096-001522) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2017-02-24 |