| NPI | 1437320322 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 4011) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH60001967) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2010-05-05 |