NPI | 1801921879 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH5689) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH0005689) |
Enumeration Date | 2007-02-22 |
Last Update Date | 2022-07-21 |