| NPI | 1972776169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH1483) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH 1483) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |