NPI | 1952493074 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 508) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: KY 3470) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2011-02-01 |