| NPI | 1881868255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NX0100X Chiropractor, Occupational Health (Licence: CA DC24994) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC24994) |
| 111NI0013X Chiropractor, Independent Medical Examiner (Licence: CA DC24994) | |
| 111NN1001X Chiropractor, Nutrition (Licence: CA DC24994) | |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2010-04-20 |