NPI | 1245700798 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 008827) |
Additional Taxonomies | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: NY X008827) |
Enumeration Date | 2018-11-27 |
Last Update Date | 2018-11-27 |