NPI | 1689843278 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002385A) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: OH 3886) |
Enumeration Date | 2008-02-27 |
Last Update Date | 2022-02-20 |