| NPI | 1275703027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH9526) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: FL CH9526) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2019-09-26 |