| NPI | 1891178042 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 5101027777) |
| Additional Taxonomies | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: IL 036-157434) |
| 208100000X Physical Medicine & Rehabilitation (Licence: IL 036-157434) | |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2024-03-13 |