| NPI | 1942326582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NN1001X Chiropractor Nutrition (Licence: FL CH10375) |
| Additional Taxonomies | 111NR0400X Chiropractor Rehabilitation (Licence: FL CH10375) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-09-14 |