| NPI | 1003930876 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: HI DC-464) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: HI DC-464) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2025-09-11 |