NPI | 1568624674 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: AL 1472) |
Additional Taxonomies | 111NT0100X Chiropractor Thermography (Licence: AL 1472) |
Enumeration Date | 2008-06-30 |
Last Update Date | 2008-06-30 |