NPI | 1851577878 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: DE F1-0000629) |
Additional Taxonomies | 111NR0400X (Licence: DE F1-0000629) |
Enumeration Date | 2008-01-22 |
Last Update Date | 2014-02-10 |