NPI | 1831306943 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: CO 6034) |
Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: CO 6034) |
111NT0100X Chiropractor, Thermography (Licence: CO 6034) | |
Enumeration Date | 2007-05-17 |
Last Update Date | 2007-07-10 |