| NPI | 1376683219 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-026532) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT11648) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2023-06-20 |