NPI | 1194936211 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 770) |
Additional Taxonomies | 111NI0013X Chiropractor Independent Medical Examiner (Licence: OH 770) |
Enumeration Date | 2007-05-24 |
Last Update Date | 2007-07-08 |