| NPI | 1144425547 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036-118186) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: IL 125048774) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2019-09-20 |