NPI | 1215380597 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC 14307) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC14307) |
Enumeration Date | 2016-07-21 |
Last Update Date | 2023-08-08 |