| NPI | 1841588662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ CP045053T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070017927) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2025-11-13 |