| NPI | 1013933589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: CA HA7407) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC172371) |
| 111N00000X Chiropractor (Licence: CA DC17237) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2019-06-04 |