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 |