| NPI | 1306158407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: DC CH030095) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104556773) |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2012-10-03 |