| NPI | 1992009260 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH 10198) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: FL CH 10198) |
| Enumeration Date | 2010-12-30 |
| Last Update Date | 2022-07-18 |