NPI | 1104024108 |
---|---|
Other Name | VYACHESLAV BOYM |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X009308) |
Additional Taxonomies | 111NI0013X Chiropractor Independent Medical Examiner (Licence: NY X009308) |
111NR0400X Chiropractor Rehabilitation (Licence: NY X009308) | |
Enumeration Date | 2007-07-11 |
Last Update Date | 2008-06-18 |