NPI | 1619988524 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: DE DEF10000398) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: DE CQ-0000037) |
Enumeration Date | 2006-08-10 |
Last Update Date | 2023-09-20 |