| NPI | 1396466371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070029710) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT016229) |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2026-01-22 |