| NPI | 1225437502 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: IL 070020828) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2023-11-30 |