| NPI | 1447288154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08001662A) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 08001662) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2009-05-06 |