| NPI | 1447388657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-012652) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.012652) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2010-11-29 |