NPI | 1225223837 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 004995) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 020301) |
Enumeration Date | 2007-09-07 |
Last Update Date | 2024-03-26 |