NPI | 1851489850 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 003011) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: MN 003011) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2019-05-06 |