| NPI | 1326486895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036142035) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125063061) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2021-03-01 |