| NPI | 1770737942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 31036) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 12483) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2008-11-13 |