| NPI | 1841278199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 914) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: DC NAT1000319) |
| 111NX0800X Chiropractor, Orthopedic (Licence: NC 914) | |
| 111NI0013X Chiropractor, Independent Medical Examiner (Licence: NC 914) | |
| 171100000X Acupuncturist (Licence: NC 914) | |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2010-03-18 |