| NPI | 1477177384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036176408) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01096571A) |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2025-11-25 |