| NPI | 1568864676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PR 544) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH 11299) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2024-03-26 |