| NPI | 1811285539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH10354) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL ch10345) |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2023-08-14 |