| NPI | 1588866701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002319A) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: IN 08002319A) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2007-09-04 |