| NPI | 1215017546 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172P00000X Naprapath (Licence: IL 181-000305) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 181000305) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2017-11-01 |