NPI | 1467470443 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 3047) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH-8948) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2023-12-21 |