NPI | 1578794343 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: FL CH5333) |
Additional Taxonomies | 111NR0400X (Licence: FL CH5333) |
Enumeration Date | 2009-07-28 |
Last Update Date | 2009-07-28 |