| NPI | 1720165376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: CA DC27258) |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |