| NPI | 1124233978 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002328A) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: IN 81000088A) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2009-11-27 |