NPI | 1225307853 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036101415) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD014307E) |
Enumeration Date | 2011-12-28 |
Last Update Date | 2011-12-28 |