NPI | 1932316320 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036-123746) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA A103573) |
2081H0002X Physical Medicine & Rehabilitation, Hospice and Palliative Medicine (Licence: OH 35.089617) | |
Enumeration Date | 2007-05-17 |
Last Update Date | 2020-07-06 |