| NPI | 1831438688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: DC CH30117) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: DC CH30117) |
| 111N00000X Chiropractor (Licence: DC CH30117) | |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2026-03-18 |