| NPI | 1205171725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 5092) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: OR 5092) |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2025-07-30 |