| NPI | 1710586151 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070005137) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL o7o.005137) |
| Enumeration Date | 2020-10-17 |
| Last Update Date | 2020-10-17 |