| NPI | 1609882935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 070014156) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 070.014156) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2023-06-22 |