NPI | 1972534386 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 3731) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: GA 006994) |
Enumeration Date | 2006-07-05 |
Last Update Date | 2010-09-22 |