| NPI | 1457348997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NX0100X Chiropractor, Occupational Health (Licence: TX 9196) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 9196) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2024-06-07 |