| NPI | 1679654974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209009686) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038010007) |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: IL 209009686) | |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: IL 209009686) | |
| 364SC2300X Clinical Nurse Specialist, Chronic Care (Licence: IL 209009686) | |
| 364SH1100X Clinical Nurse Specialist, Holistic (Licence: IL 209009686) | |
| 364SN0800X Clinical Nurse Specialist, Neuroscience (Licence: IL 209009686) | |
| 364SX0106X Clinical Nurse Specialist, Occupational Health (Licence: IL 209009686) | |
| 364SR0400X Clinical Nurse Specialist, Rehabilitation (Licence: IL 209009686) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209009686) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209009686) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209009686) | |
| 163WP0000X Registered Nurse, Pain Management (Licence: IL 041384754) | |
| 171100000X Acupuncturist (Licence: IL 038010007) | |
| 111NX0800X Chiropractor, Orthopedic (Licence: IL 038010007) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2012-12-17 |