| NPI | 1306603022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08003418A) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: IN 08003418A) |
| 111NR0400X (Licence: IN 08003418A) | |
| 111NX0800X Chiropractor, Orthopedic (Licence: IN 08003418A) | |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2024-02-29 |