| NPI | 1780731067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: IL 036064582) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036064582) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-07-08 |