NPI | 1558516542 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH9975) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X010211-1) |
Enumeration Date | 2008-11-18 |
Last Update Date | 2016-04-26 |