NPI | 1538334909 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 11118) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: TX AC00746) |
Enumeration Date | 2008-04-28 |
Last Update Date | 2015-10-29 |