| NPI | 1932185584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036.110638) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OR DO25780) |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2024-01-11 |