| NPI | 1922157205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 007885) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00462100) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-07-08 |