NPI | 1265745608 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC31006) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC13516) |
Enumeration Date | 2010-07-14 |
Last Update Date | 2010-07-14 |