| NPI | 1700902087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172P00000X Naprapath (Licence: IL 181-000304) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: IL 181-000304) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2013-02-21 |