| NPI | 1821617218 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: HI DC-1444) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 35034) |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2023-12-20 |