NPI | 1700917531 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC15057) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 15057) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2022-07-18 |