| NPI | 1407648579 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070029095) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: IL 070.029095) |
| Enumeration Date | 2025-05-22 |
| Last Update Date | 2026-04-21 |