| NPI | 1336634997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MD D0096591) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 125.073333) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2023-02-23 |