| NPI | 1710496344 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.02337) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 65668) |
| 225100000X Physical Therapist (Licence: IL 070023337) | |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2026-02-05 |