NPI | 1932207990 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 30266) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC30266) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2024-06-24 |