NPI | 1841379153 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH0005880) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 08001215) |
Enumeration Date | 2006-11-06 |
Last Update Date | 2007-07-08 |