| NPI | 1497213920 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: DC CH030193) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104-557514) |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-03-04 |