| NPI | 1598752545 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: TX 8323) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: LA 1811) |
| 111N00000X Chiropractor (Licence: FL 12872) | |
| 111N00000X Chiropractor (Licence: TX TX8323) | |
| 111N00000X Chiropractor (Licence: FL ch12872) | |
| 111NR0200X Chiropractor, Radiology (Licence: TX 8323) | |
| 111NX0100X Chiropractor, Occupational Health (Licence: TX 8323) | |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2023-01-19 |