| NPI | 1528518156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH14589) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 4693) |
| 111N00000X Chiropractor (Licence: TX 13310) | |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2025-09-17 |