NPI | 1245317148 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104555805) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH13828) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2023-11-09 |