| NPI | 1447994942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IL 036.172201) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036.172201) |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2024-12-12 |