| NPI | 1912945536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: IN 08001899A) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 08001899A) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2016-09-27 |