NPI | 1770890220 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 4110) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: OH acup-00181) |
Enumeration Date | 2010-09-04 |
Last Update Date | 2022-07-21 |