| NPI | 1750447538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH0006885) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH 6885) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2018-06-04 |