| NPI | 1053739094 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172P00000X Naprapath (Licence: IL 181000384) |
| Additional Taxonomies | 172P00000X Naprapath (Licence: NM 01004) |
| Enumeration Date | 2014-04-06 |
| Last Update Date | 2016-02-08 |