NPI | 1467739326 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH10703) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH60741904) |
Enumeration Date | 2011-11-07 |
Last Update Date | 2023-07-20 |