NPI | 1760557870 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC023179) |
Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: CA DC023179) |
Enumeration Date | 2006-11-22 |
Last Update Date | 2025-09-11 |