| NPI | 1043483985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC22757) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: CA ND100) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-04-11 |