| NPI | 1487638920 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-012654) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: IL 96001009) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2016-10-13 |