NPI | 1326261827 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR008110) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X009403) |
Enumeration Date | 2007-04-11 |
Last Update Date | 2007-07-08 |