| NPI | 1568561074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070012002) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05006860A) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2025-04-22 |