| NPI | 1518029230 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 202D00000X Integrative Medicine (Licence: FL CH13897) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL CH13897) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IL 038-011886) | |
| 111N00000X Chiropractor (Licence: WI 4247-012) | |
| 111NR0400X Chiropractor, Rehabilitation (Licence: IL 038-011886) | |
| Enumeration Date | 2006-12-16 |
| Last Update Date | 2023-12-01 |