| NPI | 1770509929 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MS 1079) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TN 1999) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2009-10-30 |