NPI | 1053898577 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC17767) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 458679) |
Enumeration Date | 2018-07-26 |
Last Update Date | 2018-07-26 |