| NPI | 1063659076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: IL 036149703) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038011314) |
| 208100000X Physical Medicine & Rehabilitation (Licence: MD D0089692) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: IL 036149703) | |
| 208600000X Surgery (Licence: IL 125.069633) | |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2023-09-12 |