NPI | 1699833749 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: DE F1-0000477) |
Additional Taxonomies | 111NR0400X (Licence: DE F1-0000477) |
Enumeration Date | 2006-12-04 |
Last Update Date | 2018-06-04 |