| NPI | 1326156522 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: IL 038006120) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038006120) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2025-09-11 |