NPI | 1114043247 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 27-3241) |
Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: OR 27-3241) |
175F00000X Naturopath (Licence: OR 1062) | |
Enumeration Date | 2007-03-21 |
Last Update Date | 2019-06-11 |