| NPI | 1184764433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08001097) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: IN 81000023A) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-07-08 |