| NPI | 1831455922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036137281) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 39020000x) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2021-04-17 |