| NPI | 1538335229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: FL CH 9541) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT6995) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2012-04-27 |