| NPI | 1831377449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 7960) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH9464) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2017-01-13 |