NPI | 1548274756 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC27215) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC6979) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2007-10-22 |