NPI | 1922038421 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104000671) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: VA 0104000671) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2011-12-01 |