| NPI | 1821004961 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: IL 036-084886) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036-084886) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2022-04-25 |