| NPI | 1861406050 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH7829) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: FL CH7829) |
| 111NR0200X Chiropractor, Radiology (Licence: FL CH7829) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2013-12-19 |