| NPI | 1841306982 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301087182) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036116406) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2016-09-27 |