| NPI | 1851852123 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036165088) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 125076215) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2023-12-08 |