| NPI | 1699726398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: CA 19037) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: ID CHIA-1724) |
| 111NN0400X Chiropractor, Neurology (Licence: WA CH61009706) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2020-05-19 |