NPI | 1497734586 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NH 596-0400) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 2606) |
Enumeration Date | 2006-01-17 |
Last Update Date | 2008-01-02 |