| NPI | 1447583901 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NX0100X Chiropractor Occupational Health (Licence: CO 008068) |
| Additional Taxonomies | 111NX0100X Chiropractor Occupational Health (Licence: IL 038006730) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2020-12-16 |