| NPI | 1063973691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036171014) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 125.074260) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2024-12-13 |