| NPI | 1568101855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070026845) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070026833) |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2022-08-22 |