| NPI | 1043208424 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN IN08001538A) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: IN 81000042A) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2010-09-15 |