| NPI | 1467888974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251C2600X Physical Therapist Cardiopulmonary (Licence: IL 070021127) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070021127) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2024-02-21 |