| NPI | 1992815328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 14884) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: CA HA5090) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-01-14 |