| NPI | 1528176138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 070-010014) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: IL 070010014) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2018-01-04 |