| NPI | 1194946897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: CA 30087) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 11417) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-10-02 |