| NPI | 1386948784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172P00000X Naprapath (Licence: IL 181000237) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: IL 181000237) |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2010-12-29 |