NPI | 1033287040 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111NI0013X Chiropractor Independent Medical Examiner (Licence: ID 508) |
Additional Taxonomies | 111NI0900X Chiropractor Internist (Licence: ID 508C) |
111NX0800X Chiropractor Orthopedic (Licence: ID 508C) | |
175F00000X Naturopath (Licence: ID 508) | |
Enumeration Date | 2006-11-30 |
Last Update Date | 2016-03-01 |