| NPI | 1336206317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 27 1337) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: OR 0838) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-07-08 |