| NPI | 1164462149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OK 3826) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 10191) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-07-30 |