NPI | 1649281957 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH7173) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: AL AL1691) |
111N00000X Chiropractor (Licence: GA GA005631) | |
Enumeration Date | 2006-08-11 |
Last Update Date | 2007-07-08 |