| NPI | 1932372281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC009941) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: PA ak000958) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2009-10-06 |