NPI | 1528187747 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: DE F1-0000642) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC003686L) |
Enumeration Date | 2007-03-28 |
Last Update Date | 2007-07-08 |