NPI | 1881163467 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH.60979655) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2018040678) |
Enumeration Date | 2018-11-13 |
Last Update Date | 2024-06-24 |