| NPI | 1619144755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002297A) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: IN 81000081A) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |