| NPI | 1770693426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NH 11444) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036177891) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2025-12-03 |