NPI | 1750159844 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: TX 75898) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 15898) |
Enumeration Date | 2023-12-18 |
Last Update Date | 2024-02-02 |