| NPI | 1407513831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: FL CH13646) |
| Additional Taxonomies | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: NC 5349) |
| 111NI0013X Chiropractor, Independent Medical Examiner (Licence: SC 5046) | |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2026-03-12 |