| NPI | 1891900700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TN 43962) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036.118576) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2010-03-03 |