| NPI | 1952380743 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IL 036085527) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036085527) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2023-11-15 |