| NPI | 1326190729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: FL CH11247) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: MD S01350) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2016-10-26 |