NPI | 1659602472 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: CA 11778) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 11778) |
Enumeration Date | 2010-01-18 |
Last Update Date | 2010-01-18 |