NPI | 1346417144 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC-30915) |
Additional Taxonomies | 111NX0100X Chiropractor, Occupational Health (Licence: CA DC30915) |
Enumeration Date | 2008-05-12 |
Last Update Date | 2010-06-10 |