| NPI | 1417269655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IA MD-43470) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036136723) |
| 208100000X Physical Medicine & Rehabilitation (Licence: MO 2014036782) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: KS 04-36621) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IL 036136723) | |
| Enumeration Date | 2010-07-03 |
| Last Update Date | 2022-07-21 |