NPI | 1457449928 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 2241) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH9184) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2010-01-29 |