NPI | 1437665171 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 3970) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 6904) |
Enumeration Date | 2017-12-18 |
Last Update Date | 2025-07-09 |