NPI | 1326476888 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: AR 16037) |
Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: AR 16037) |
111NR0400X Chiropractor, Rehabilitation (Licence: AR 16037) | |
Enumeration Date | 2013-10-21 |
Last Update Date | 2020-01-31 |