NPI | 1942279757 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: AR 794) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: AR 794) |
Enumeration Date | 2006-03-15 |
Last Update Date | 2012-09-11 |