| NPI | 1750725818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD S03741) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: DC CH030165) |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2022-07-21 |