NPI | 1902005770 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 3744) |
Additional Taxonomies | 175F00000X Naturopath (Licence: OR 1886) |
Enumeration Date | 2007-07-12 |
Last Update Date | 2012-04-11 |