| NPI | 1396206801 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IA DO-06351) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 125073897) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2023-08-20 |