NPI | 1265441133 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08000911A) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 3927) |
Enumeration Date | 2006-08-07 |
Last Update Date | 2015-03-31 |