| NPI | 1477903615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 125.068550) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036153055) |
| Enumeration Date | 2016-06-19 |
| Last Update Date | 2025-09-08 |