NPI | 1962604249 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NV B00782) |
Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: NV B782) |
Enumeration Date | 2007-05-31 |
Last Update Date | 2014-01-09 |