| NPI | 1942338066 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 4368) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 4263-12) |
| 111N00000X Chiropractor (Licence: FL CH10625) | |
| 172A00000X Driver | |
| 3747P1801X Technician, Personal Care Attendant | |
| 376J00000X Homemaker | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2024-04-08 |