NPI | 1336309731 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MT 1207) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MS 1142) |
Enumeration Date | 2008-06-10 |
Last Update Date | 2014-09-22 |