NPI | 1952337826 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: FL Ch8933) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH8933) |
Enumeration Date | 2006-06-23 |
Last Update Date | 2015-01-26 |