| NPI | 1265738272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC202894) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 17765) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2021-07-16 |