NPI | 1215372982 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC 20053) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC 14477) |
Enumeration Date | 2013-05-07 |
Last Update Date | 2013-05-07 |