| NPI | 1689115032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036154976) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125071124) |
| Enumeration Date | 2017-03-18 |
| Last Update Date | 2021-06-29 |