| NPI | 1659773299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 5053) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: DC CH0030218) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2024-04-09 |