NPI | 1992276927 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH14300) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 29116) |
Enumeration Date | 2018-12-17 |
Last Update Date | 2025-05-13 |