NPI | 1336432426 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 31949) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 15464) |
Enumeration Date | 2011-05-23 |
Last Update Date | 2022-06-07 |