| NPI | 1356325765 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002036A) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: IN 81000041A) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2015-05-14 |