NPI | 1245822758 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X01371701) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 007444) |
Enumeration Date | 2021-02-05 |
Last Update Date | 2023-12-07 |