NPI | 1073940722 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: WI 2255) |
Additional Taxonomies | 133N00000X Nutritionist (Licence: IL 164004084) |
171100000X Acupuncturist (Licence: IL 198000128) | |
171100000X Acupuncturist (Licence: FL AP126) | |
172P00000X Naprapath (Licence: IL 181000186) | |
Enumeration Date | 2013-09-26 |
Last Update Date | 2013-09-26 |