| NPI | 1790025450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH12733) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: DE F1-0000855) |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2020-01-30 |