| NPI | 1841480209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC25781) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC17077) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2016-06-15 |