| NPI | 1346051471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: FL CH5968) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP3726) |
| Enumeration Date | 2025-01-17 |
| Last Update Date | 2025-01-17 |