NPI | 1548308323 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 5581) |
Additional Taxonomies | 175F00000X Naturopath (Licence: AZ 00-603) |
Enumeration Date | 2007-02-02 |
Last Update Date | 2015-01-05 |