NPI | 1386817781 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OK 3869) |
Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: OK 3869) |
Enumeration Date | 2008-04-07 |
Last Update Date | 2017-11-20 |