| NPI | 1174566475 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH0006329) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AL 1296) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2012-08-07 |