| NPI | 1942420377 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: CA DC15102) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: HI DC322) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-12-20 |