| 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 |