| NPI | 1568536647 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH5006) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH005006) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2023-08-10 |