NPI | 1538257530 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH5913) |
Additional Taxonomies | 111NI0900X Chiropractor, Internist (Licence: FL CH0005913) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2018-01-31 |