| NPI | 1942470513 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH7343) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL ch 0007343) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2010-08-25 |