NPI | 1285888255 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC10708) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC2645) |
Enumeration Date | 2008-11-04 |
Last Update Date | 2008-11-04 |