| NPI | 1295710424 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002094A) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: IN 81000080A) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2019-02-05 |