| NPI | 1841750924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: IL 036.164439) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036.164439) |
| Enumeration Date | 2019-03-23 |
| Last Update Date | 2024-07-09 |