NPI | 1346227220 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: NJ 38MC00299200) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: NJ 25MZ00006500) |
Enumeration Date | 2005-12-30 |
Last Update Date | 2019-05-15 |