NPI | 1023046406 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 2513) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 281) |
Enumeration Date | 2006-06-28 |
Last Update Date | 2007-07-08 |