NPI | 1952335242 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 200004098391) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 3515) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2023-10-02 |