NPI | 1497936819 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 4024) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC27169) |
Enumeration Date | 2007-11-15 |
Last Update Date | 2013-03-29 |