NPI | 1649414814 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: DE F1-0000732) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: DE F1-0000732) |
Enumeration Date | 2009-05-01 |
Last Update Date | 2015-06-09 |