| NPI | 1326001827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IA 2843) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036103691) |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: IA 2843) | |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2024-03-04 |