NPI | 1528244332 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 6220) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH00034856) |
Enumeration Date | 2008-01-11 |
Last Update Date | 2018-02-20 |