| NPI | 1831278431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AK 458) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 6269) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2008-12-20 |