| NPI | 1851582910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036-137633) |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: IL 036-137633) |
| 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: CA A117154) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2022-07-21 |