| NPI | 1841379757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor Nutrition (Licence: CA DC21572) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC21572) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2019-12-31 |