| NPI | 1770745713 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CO DR.0069091) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: GA 75024) |
| 208100000X Physical Medicine & Rehabilitation (Licence: IL 036123904) | |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2022-12-14 |