| NPI | 1326225863 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC29274) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC12302) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2024-01-11 |