| NPI | 1538446984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH-10341) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NV B01159) |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2013-06-05 |