| 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 |