NPI | 1760539241 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MD S1459PT) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MD S01459) |
Enumeration Date | 2007-01-05 |
Last Update Date | 2020-04-01 |