NPI | 1275943599 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002773A) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: IN 81000155A) |
Enumeration Date | 2014-05-08 |
Last Update Date | 2023-11-29 |