| NPI | 1518931906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: IL 036051531) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036051531) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2014-03-31 |