| NPI | 1346349412 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH00004926) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH4926) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2025-04-15 |