| NPI | 1740081884 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 4108) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: TN 4108) |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2026-08-14 |