| NPI | 1316951338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 6433) |
| Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: MO 6433) |
| 111NS0005X Chiropractor, Sports Physician (Licence: MO 6433) | |
| 171100000X Acupuncturist (Licence: MO 6433) | |
| 111N00000X Chiropractor (Licence: KS 4863) | |
| 111NN1001X Chiropractor, Nutrition (Licence: MO 6433) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2024-07-19 |