NPI | 1760579361 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036-134251) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL OS9721) |
Enumeration Date | 2006-10-06 |
Last Update Date | 2021-11-18 |