| NPI | 1609086537 |
|---|---|
| Other Name | THE BACK CENTER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC 24148) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC24148) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2021-08-26 |