NPI | 1568034346 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH14319) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: ME CR2748) |
Enumeration Date | 2021-07-12 |
Last Update Date | 2024-10-29 |