NPI | 1649499476 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IL 036129085) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA OS014454) |
208100000X Physical Medicine & Rehabilitation (Licence: MI 5101017042) | |
208100000X Physical Medicine & Rehabilitation (Licence: IL 036129085) | |
Enumeration Date | 2007-04-24 |
Last Update Date | 2023-08-07 |