NPI | 1609895788 |
---|---|
Former Name | MICHAEL J TRUMP |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 01-04890) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 4890) |
Enumeration Date | 2006-07-19 |
Last Update Date | 2023-06-12 |