| NPI | 1659433506 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: IL 036-051666) |
| Additional Taxonomies | 283X00000X Rehabilitation Hospital |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2007-07-08 |