NPI | 1922403880 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CO CHR.0007315) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH 11239) |
Enumeration Date | 2014-11-04 |
Last Update Date | 2016-02-18 |