| NPI | 1326009424 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: DE F1-0000136) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: DE DN-0000395) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2015-10-23 |