NPI | 1508980558 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH13493) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC26497) |
Enumeration Date | 2007-03-16 |
Last Update Date | 2024-08-31 |