NPI | 1295807519 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH13578) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 22871) |
Enumeration Date | 2006-11-14 |
Last Update Date | 2021-12-06 |