NPI | 1376720656 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111NR0400X (Licence: IN 08000425A) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 08000425A) |
Enumeration Date | 2008-01-29 |
Last Update Date | 2008-01-29 |