| NPI | 1184762593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 5820) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: AZ 3441) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2012-11-09 |