NPI | 1215465711 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: HI 1087) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: HI 12759) |
Enumeration Date | 2017-05-26 |
Last Update Date | 2021-09-02 |