NPI | 1194867051 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL ch 9220) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: GA chir007500) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2010-11-16 |