| NPI | 1275956799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374700000X Technician (Licence: IL 2455251) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 171400000X Health & Wellness Coach | |
| 171R00000X Interpreter | |
| 172M00000X Mechanotherapist | |
| 173C00000X Reflexologist (Licence: AZ MT-19507) | |
| 202K00000X (Licence: IL 2455251) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: IL 707134) | |
| 225400000X Rehabilitation Practitioner | |
| 225700000X Massage Therapist (Licence: AZ MT-19507) | |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2022-07-21 |