| NPI | 1184742207 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 07009706) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-009706) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2013-11-06 |