| NPI | 1215517610 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.011441) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2024-02-08 |