NPI | 1033233283 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: FL CH6744) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH6744) |
Enumeration Date | 2007-03-16 |
Last Update Date | 2018-08-08 |