NPI | 1831511633 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 32746) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC15965) |
Enumeration Date | 2014-01-13 |
Last Update Date | 2020-03-02 |