| NPI | 1114541380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 125079253) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11021952A) |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2022-07-05 |