| NPI | 1396988341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH9588) |
| Additional Taxonomies | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: FL CH9588) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2009-04-07 |