| NPI | 1144435926 |
|---|---|
| Professional Name | BRIAN DAVID BLAKE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: GA D40613) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: GA CHIR005865) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2013-06-19 |