| NPI | 1336193507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-007910) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070007910) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2014-10-07 |