| NPI | 1881687374 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH0007165) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH #0007165) |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2010-11-01 |