NPI | 1457496028 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08000291A) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038002951) |
Enumeration Date | 2007-02-21 |
Last Update Date | 2007-07-08 |