| NPI | 1073997037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036148198) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IN 99097279A) |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2024-01-23 |