NPI | 1265033286 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: LA 323918) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: LA La9196) |
Enumeration Date | 2020-11-05 |
Last Update Date | 2020-11-05 |