| NPI | 1396137816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: IL 038012763) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: WA NT60832386) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2022-11-28 |