NPI | 1750468336 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH 9208) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ MC002482) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2008-04-17 |