| NPI | 1922368968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002654A) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TN 2612) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2022-06-27 |