NPI | 1962418152 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL ch10085) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 08002280A) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2012-06-21 |