| NPI | 1649426297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-016630) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056-008418) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2010-04-27 |