| NPI | 1437389434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 3458) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OH 006854) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2018-03-23 |