NPI | 1437389434 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 3458) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OH 006854) |
Enumeration Date | 2009-07-23 |
Last Update Date | 2018-03-23 |