| NPI | 1285935510 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH14941) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH9868) |
| 111N00000X Chiropractor (Licence: IN 08002736A) | |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2024-04-18 |