NPI | 1679659072 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149000523) |
Additional Taxonomies | 172P00000X Naprapath (Licence: IL 181000295) |
Enumeration Date | 2006-10-27 |
Last Update Date | 2025-09-11 |