| NPI | 1952423477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC26086) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: CA ND619) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2024-03-11 |