| NPI | 1508878463 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: CO 2788) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: CO 2788) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2011-03-22 |