NPI | 1275849424 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH 10065) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: PR 535) |
111N00000X Chiropractor (Licence: AZ 8568) | |
Enumeration Date | 2010-08-25 |
Last Update Date | 2020-05-13 |