NPI | 1881703387 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 36099059) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IN 010576564) |
Enumeration Date | 2006-08-29 |
Last Update Date | 2011-05-26 |