| NPI | 1427444884 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036157189) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036157189) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2022-05-21 |