| NPI | 1487860524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 36118691) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA A90617) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2012-04-18 |