| NPI | 1194835900 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: FL CH7012) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: DC NAT1000707) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |