NPI | 1447371232 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MD 03554) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH60333314) |
Enumeration Date | 2007-04-02 |
Last Update Date | 2015-07-14 |