NPI | 1568603447 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: NV B01047) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NV B01047) |
Enumeration Date | 2009-03-23 |
Last Update Date | 2009-03-23 |