NPI | 1215019922 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 3356) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: MN 525) |
Enumeration Date | 2006-10-20 |
Last Update Date | 2024-01-04 |