| NPI | 1447873658 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036.175539) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME166734) |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2025-10-27 |