NPI | 1558675371 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH 10345) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR008697) |
Enumeration Date | 2010-08-04 |
Last Update Date | 2011-07-07 |