NPI | 1821461229 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH11703) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR009604) |
Enumeration Date | 2015-11-06 |
Last Update Date | 2015-11-18 |