| NPI | 1417358656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: FL CH14014) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH11301) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2023-12-13 |