NPI | 1700254174 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 01-05743) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KS 01-05743) |
Enumeration Date | 2015-09-02 |
Last Update Date | 2024-04-22 |