| NPI | 1740656669 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD 04028) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: DC CH030154) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2019-10-30 |