NPI | 1083082804 |
---|---|
Former Name | PAUL MICHAEL COOK |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111NI0900X Chiropractor, Internist (Licence: CA 33060) |
Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: CA 33060) |
111NX0100X Chiropractor, Occupational Health (Licence: CA 33060) | |
Enumeration Date | 2015-09-10 |
Last Update Date | 2023-08-14 |