| NPI | 1841278843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0301X Physical Medicine & Rehabilitation Brain Injury Medicine (Licence: IL 036-130612) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036-130612) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2022-07-21 |