| NPI | 1285709022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08001729A) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: IN 81000007A) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2010-11-22 |