| NPI | 1811922776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 9824) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2025-01-14 |