| NPI | 1033178710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 4847) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH00001940) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2026-05-05 |