| NPI | 1376580670 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036074003) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01062404A) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2011-09-28 |