| NPI | 1669347134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: CA 36658) |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 226300000X Kinesiotherapist | |
| Enumeration Date | 2025-10-06 |
| Last Update Date | 2025-10-06 |