NPI | 1851540942 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC20613) |
Additional Taxonomies | 111NX0100X Chiropractor, Occupational Health (Licence: CA DC20613) |
Enumeration Date | 2008-09-12 |
Last Update Date | 2011-02-28 |