| NPI | 1245541846 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TN 51382) |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine (Licence: TN 51382) |
| 208100000X Physical Medicine & Rehabilitation (Licence: IL 125057402) | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2024-12-27 |