NPI | 1326067661 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111NX0100X Chiropractor, Occupational Health (Licence: FL ch5159) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: FL CH5159) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2008-11-05 |