| NPI | 1790282796 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036160617) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID MRM-1711) |
| Enumeration Date | 2018-04-07 |
| Last Update Date | 2022-07-18 |