NPI | 1598389249 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08003326A) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2020014160) |
Enumeration Date | 2020-05-28 |
Last Update Date | 2022-09-07 |