NPI | 1841678653 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036.147870) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2020-04642) |
Enumeration Date | 2015-05-12 |
Last Update Date | 2023-11-02 |