NPI | 1760429393 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC 30069) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC5654) |
Enumeration Date | 2006-06-01 |
Last Update Date | 2019-12-06 |