| NPI | 1134512809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: HI DC-1422) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: CA 33185) |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2019-02-20 |