Israel first competed in 1960, at the Summer Games in Rome, Italy. In total, Israel has won 123 gold medals at the Summer Paralympic Games. At the 2004 Summer Paralympics in Athens, Israelis won a total of thirteen medals, of which four were gold. Izhak Mamistvalov won three medals (of which two gold) in swimming, while Keren Leibowitz won four medals, of which one gold, also in swimming. The most successful Israeli Paralympian was Zipora Rubin-Rosenbaum, who, between 1964 and 1988, won 21 medals at the Paralympic Games, of which 11 gold. Second successful Israeli Paralympian was Uri Bergman, who, between 1976 and 1988, won 12 medals at the Paralympic Games, of which 11 gold.