| NPI | 1437526084 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH 60548701) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2022-03-31 |