NPI | 1386800373 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: TX 4327) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 4327) |
Enumeration Date | 2008-07-30 |
Last Update Date | 2012-03-20 |