| NPI | 1851308464 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: IL 036-082610) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-072610) |
| 208100000X Physical Medicine & Rehabilitation (Licence: IL 036-072610) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2022-06-23 |