| NPI | 1932287596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NV B-443) |
| Additional Taxonomies | 111NX0100X Chiropractor, Occupational Health (Licence: NV B-443) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2022-09-20 |