| NPI | 1114244647 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH9921) |
| Additional Taxonomies | 111NI0900X Chiropractor, Internist (Licence: FL CH9921) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2024-10-23 |