| NPI | 1720148885 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NT0100X Chiropractor, Thermography (Licence: TN 1968) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL ch 9455) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2008-06-20 |