NPI | 1063853331 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: DE f10000899) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: DE CQ-0000047) |
Enumeration Date | 2013-07-15 |
Last Update Date | 2015-12-02 |