NPI | 1548298078 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: TN DC 270) |
Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: TN DC 270) |
Enumeration Date | 2006-06-30 |
Last Update Date | 2007-07-09 |