| NPI | 1942816921 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070028744) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 298448) |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2025-01-14 |