| NPI | 1386262319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: KS 01-06046) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: KS 01-06046) |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-07-07 |