| NPI | 1669118378 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-026746) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2022-08-03 |