NPI | 1225395767 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: UT 10339521-1201) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: OH 65.000131) |
Enumeration Date | 2012-04-23 |
Last Update Date | 2025-01-23 |