NPI | 1801969738 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA Dc15230) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC8361) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2008-08-27 |