| NPI | 1669783411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036143030) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TN 62524) |
| 208100000X Physical Medicine & Rehabilitation (Licence: CT 54513) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: MS 28513) | |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: IL 036143030) | |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: CT 05413) | |
| Enumeration Date | 2010-06-27 |
| Last Update Date | 2022-07-21 |