NPI | 1811770225 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08003377A) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038.014023) |
Enumeration Date | 2023-08-17 |
Last Update Date | 2023-08-17 |