NPI | 1881910180 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 5341) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH9958) |
Enumeration Date | 2010-04-12 |
Last Update Date | 2010-09-02 |