NPI | 1649286618 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: IL 036-114725) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036-114725) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2022-04-26 |