NPI | 1851005151 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08003480A) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: FL 14352) |
Enumeration Date | 2023-01-11 |
Last Update Date | 2025-01-10 |