| NPI | 1821197658 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH0003832) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH0004740) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |