NPI | 1184927568 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: AL 2320) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: TN 2464) |
Enumeration Date | 2010-12-07 |
Last Update Date | 2018-07-06 |