| 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 | 2025-05-15 |