NPI | 1063535847 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: OH 1258) |
Additional Taxonomies | 111NN1001X Chiropractor Nutrition (Licence: OH 1258) |
Enumeration Date | 2007-04-09 |
Last Update Date | 2013-09-26 |