NPI | 1962532150 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172P00000X Naprapath (Licence: IL 181000155) |
Additional Taxonomies | 174400000X Specialist (Licence: IL 181000155) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2017-11-27 |