NPI | 1326271222 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: NM 1673) |
Additional Taxonomies | 111NX0100X Chiropractor, Occupational Health (Licence: NM 1673) |
Enumeration Date | 2009-08-26 |
Last Update Date | 2009-08-26 |