| NPI | 1013903186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08001634A) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 08001643A) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2024-06-20 |