NPI | 1699149302 |
---|---|
Other Name | TONY JULIO BRANKER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: TX 13068) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 13068) |
2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX AT3682) | |
Enumeration Date | 2015-11-18 |
Last Update Date | 2022-04-08 |