NPI | 1740416551 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002458A) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038011421) |
Enumeration Date | 2009-06-08 |
Last Update Date | 2009-06-08 |