NPI | 1174566475 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH0006329) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: AL 1296) |
Enumeration Date | 2006-06-14 |
Last Update Date | 2012-08-07 |