| NPI | 1689814634 |
|---|---|
| Professional Name | DEREK B KOGAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CO 2151) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 7357) |
| 171100000X Acupuncturist (Licence: CA 13090) | |
| 111N00000X Chiropractor (Licence: CA 33225) | |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2016-04-16 |