NPI | 1902294218 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NV B0987) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC28680) |
Enumeration Date | 2015-01-08 |
Last Update Date | 2015-01-09 |