| NPI | 1356871685 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070023314) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2022-05-11 |