NPI | 1598701708 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: PA AJ007824L) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC007824L) |
Enumeration Date | 2006-06-22 |
Last Update Date | 2007-07-08 |