NPI | 1275565285 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MS 1098) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: TN 1776) |
Enumeration Date | 2006-07-07 |
Last Update Date | 2013-02-28 |