NPI | 1033645817 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC210428) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 17282) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2023-05-11 |