NPI | 1588419535 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MS 1345) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: TN 3517) |
Enumeration Date | 2024-04-23 |
Last Update Date | 2024-06-25 |