NPI | 1427510676 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036171414) |
Additional Taxonomies | 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: IL 036171414) |
208100000X Physical Medicine & Rehabilitation (Licence: IL 1427510676) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-04-04 |
Last Update Date | 2024-09-19 |