| NPI | 1861630071 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: FL CH 7158) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH 7158) |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2009-01-26 |