| NPI | 1851306419 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: DE F1-0000905) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DG26782) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2024-02-08 |