| NPI | 1538257530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH5913) |
| Additional Taxonomies | 111NI0900X Chiropractor, Internist (Licence: FL CH0005913) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2018-01-31 |