| NPI | 1932431558 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070006155) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 12470) |
| Enumeration Date | 2010-02-06 |
| Last Update Date | 2010-02-06 |