NPI | 1538233119 |
---|---|
Professional Name | MICHAEL SAN JOSE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 25502) |
Additional Taxonomies | 111NS0005X Chiropractor Sports Physician (Licence: CA 25502) |
Enumeration Date | 2006-11-17 |
Last Update Date | 2022-08-17 |