| NPI | 1467444562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 540) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH0004991) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2008-03-24 |