| NPI | 1902826852 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ MB08082100) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036112791) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-02-13 |