NPI | 1568915668 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC011165) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: DE F1-0000989) |
Enumeration Date | 2016-07-26 |
Last Update Date | 2019-05-22 |