| NPI | 1720299472 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA1576) |
| Additional Taxonomies | 175L00000X Homeopath (Licence: NV A-31007) |
| 111N00000X Chiropractor (Licence: NV B01391) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2024-02-13 |