| NPI | 1427252832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC17323) |
| 133N00000X Nutritionist | |
| 225100000X Physical Therapist | |
| 225400000X Rehabilitation Practitioner | |
| 225700000X Massage Therapist | |
| 226300000X Kinesiotherapist | |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2007-07-08 |