NPI | 1093096034 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 6710) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 4174) |
Enumeration Date | 2011-09-05 |
Last Update Date | 2011-09-05 |