| NPI | 1588611057 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IL 036097375) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036-097375) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2022-04-25 |