| NPI | 1891462800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172P00000X Naprapath (Licence: IL 181000402) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 181000402) |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2021-08-26 |