| NPI | 1427673037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH14683) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TN 3294) |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2024-06-12 |