NPI | 1427122217 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH9399) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X0045601) |
111N00000X Chiropractor (Licence: SC 3198) | |
Enumeration Date | 2006-11-20 |
Last Update Date | 2009-03-17 |