| NPI | 1306972641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH0009206) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH9206) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2009-06-22 |