| NPI | 1427653690 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: FL CH13278) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH13278) |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2024-09-02 |