NPI | 1699704221 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 2646) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH8427) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2013-01-29 |