NPI | 1013013143 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: AL 1847) |
Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: AL 1847) |
Enumeration Date | 2006-09-16 |
Last Update Date | 2019-05-11 |