| NPI | 1851542807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301090630) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 125054684) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2016-10-14 |