| NPI | 1396704151 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08001826A) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: IN 81000010A) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2011-01-06 |