NPI | 1689686867 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: DE F1-0000353) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC005385L) |
Enumeration Date | 2006-08-13 |
Last Update Date | 2007-07-08 |