| NPI | 1982165262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036164979) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 125074338) |
| 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: IL 036.164979) | |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2024-10-15 |