| NPI | 1548308323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 5581) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: AZ 00-603) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2015-01-05 |