| NPI | 1467921080 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070022730) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 070022730) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2018-11-14 |