| NPI | 1649494873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172P00000X Naprapath (Licence: NM 0022) |
| Additional Taxonomies | 172P00000X Naprapath (Licence: IL 181000316) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2013-03-20 |