NPI | 1326009424 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: DE F1-0000136) |
Additional Taxonomies | 133N00000X Nutritionist (Licence: DE DN-0000395) |
Enumeration Date | 2006-03-29 |
Last Update Date | 2015-10-23 |