| NPI | 1154595890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172P00000X Naprapath (Licence: IL 181-000286) |
| Additional Taxonomies | 172P00000X Naprapath (Licence: IL 181000286) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2012-08-03 |