NPI | 1144387994 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 3982) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH E0001922) |
Enumeration Date | 2007-01-02 |
Last Update Date | 2009-02-28 |