| NPI | 1063825925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036.158386) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036.158386) |
| 208100000X Physical Medicine & Rehabilitation (Licence: IL 125064995) | |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: IL 036.158386) | |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2023-11-28 |