NPI | 1003985227 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH9324) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC-30080) |
Enumeration Date | 2006-11-06 |
Last Update Date | 2015-03-25 |