NPI | 1184457186 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH15156) |
Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: FL CH15156) |
111NX0100X Chiropractor, Occupational Health (Licence: FL CH15156) | |
Enumeration Date | 2024-08-23 |
Last Update Date | 2025-06-16 |