| 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 |