| NPI | 1528283298 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: CA DC0228350) |
| Additional Taxonomies | 111NX0100X Chiropractor, Occupational Health (Licence: CA DC0228350) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2008-05-13 |