| NPI | 1588046262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH 11232) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH11232) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2019-12-16 |