| NPI | 1710138599 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036123190) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 125049608) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2017-09-27 |