| NPI | 1396810032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 871) |
| Additional Taxonomies | 111NX0800X Chiropractor Orthopedic (Licence: IN 08000871A) |
| 171100000X Acupuncturist (Licence: IN 81000034A) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2019-11-12 |