| NPI | 1669656831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC 27551) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC 9372) |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2008-06-13 |