| NPI | 1225577729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD S04016) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: CT 2059) |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2019-06-27 |