NPI | 1760881320 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 4633) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC010984) |
Enumeration Date | 2014-08-20 |
Last Update Date | 2016-07-20 |