NPI | 1881647717 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00034021) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 283284) |
Enumeration Date | 2006-05-19 |
Last Update Date | 2016-10-19 |