| NPI | 1801921879 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH5689) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH0005689) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2022-07-21 |