| NPI | 1487685350 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: OH 2740) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OH 2740) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2022-06-29 |