NPI | 1497411458 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: DC CH21000002) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: DC CH21000002) |
Enumeration Date | 2021-11-15 |
Last Update Date | 2025-09-18 |