| NPI | 1669739934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172P00000X Naprapath (Licence: IL 181000400) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: IL 227007732) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2022-06-27 |