NPI | 1093720864 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: NM 1375) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NM 1375) |
Enumeration Date | 2006-07-30 |
Last Update Date | 2025-01-17 |