| NPI | 1528382603 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MT 12375) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036121926) |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2022-02-22 |