| NPI | 1962638494 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036132000) |
| Additional Taxonomies | 208600000X Surgery (Licence: HI MDR-5736) |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: IL 036.132000) | |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2024-01-22 |