| NPI | 1366646655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: FL ch9067) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH9067) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2009-04-13 |