| NPI | 1851316970 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NV 04383) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036159244) |
| 208100000X Physical Medicine & Rehabilitation (Licence: FL ME125878) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2024-03-04 |