| NPI | 1619569274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR010469) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH13414) |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2021-02-05 |