| NPI | 1427213693 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID chia-1965) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: ID 1861365) |
| Enumeration Date | 2008-07-27 |
| Last Update Date | 2024-08-01 |