NPI | 1679606297 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CO CHR.0007299) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH8469) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2024-03-13 |