| NPI | 1780654129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-002755) |
| Additional Taxonomies | 2251E1200X Physical Therapist, Ergonomics (Licence: IL 99129) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2016-06-21 |