| NPI | 1447567086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH 10618) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038011763) |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2020-07-26 |