NPI | 1255666756 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC 31369) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH 60106740) |
Enumeration Date | 2009-10-16 |
Last Update Date | 2011-05-24 |