| NPI | 1093134868 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH11271) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PR 528) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2023-07-20 |