| NPI | 1629603816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036180090) |
| Additional Taxonomies | 208VP0000X (Licence: IL 036180090) |
| 208100000X Physical Medicine & Rehabilitation (Licence: WI 82431-20) | |
| Enumeration Date | 2020-03-08 |
| Last Update Date | 2026-08-03 |