| NPI | 1598854218 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002249A) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: IN 81000092A) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-07-07 |