NPI | 1083791487 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 2130) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NY ny007272) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2007-07-08 |