NPI | 1194940809 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95013795) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC18301) |
111NI0013X (Licence: CA DC18301) | |
111NN0400X Chiropractor, Neurology (Licence: CA DC18301) | |
111NN1001X Chiropractor, Nutrition (Licence: CA DC18301) | |
111NR0400X Chiropractor, Rehabilitation (Licence: CA DC18301) | |
111NS0005X Chiropractor, Sports Physician (Licence: CA DC18301) | |
111NX0100X Chiropractor, Occupational Health (Licence: CA DC18301) | |
111NX0800X Chiropractor, Orthopedic (Licence: CA DC18301) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP95013795) | |
363LF0000X Nurse Practitioner, Family (Licence: CA NP95013795) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: CA NP95013795) | |
363LX0106X Nurse Practitioner, Occupational Health (Licence: CA NP95013795) | |
Enumeration Date | 2007-04-16 |
Last Update Date | 2020-02-10 |