| NPI | 1447456447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 011430) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 31382) |
| 374J00000X Doula | |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2026-05-19 |