| NPI | 1932786258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036178773) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: KS 94-10852) |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2026-08-06 |