NPI | 1417047051 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 4727) |
Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: CO 4727) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2007-07-08 |