| NPI | 1346277175 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC009649) |
| Additional Taxonomies | 111NT0100X Chiropractor, Thermography (Licence: IL 038-010447) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2013-10-02 |