| NPI | 1508179052 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX S9662) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036-138194) |
| 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: IL 036-138194) | |
| 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: TX S9662) | |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2021-06-21 |