| NPI | 1932590536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NT0100X Chiropractor, Thermography (Licence: HI dc1275) |
| Additional Taxonomies | 111NT0100X Chiropractor, Thermography (Licence: CA 32701) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2015-02-18 |