| NPI | 1902352404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172P00000X Naprapath (Licence: NM 01019) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: IL 198000647) |
| 172P00000X Naprapath (Licence: IL 181000360) | |
| 133N00000X Nutritionist (Licence: IL 181000360) | |
| 133N00000X Nutritionist (Licence: NM 01019) | |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: NM 01019) | |
| 172M00000X Mechanotherapist (Licence: IL 181000360) | |
| 172M00000X Mechanotherapist (Licence: NM 01019) | |
| 174H00000X Health Educator (Licence: IL 181000360) | |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: IL 181000360) | |
| 174H00000X Health Educator (Licence: NM 01019) | |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-08-25 |