| NPI | 1396373502 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036-171652) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WA 61158152) |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2024-11-05 |