| NPI | 1508084591 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070015291) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: 070015291) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2021-10-06 |