NPI | 1518949478 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MT 634) |
Additional Taxonomies | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: MT 634) |
Enumeration Date | 2005-11-16 |
Last Update Date | 2024-09-26 |