| NPI | 1104137082 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036-147909) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 125058243) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2020-04-16 |