| NPI | 1447443908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 70015225) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 2460) |
| Enumeration Date | 2007-08-19 |
| Last Update Date | 2020-06-18 |