NPI | 1285976522 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC18031) |
Additional Taxonomies | 101Y00000X Counselor |
225700000X Massage Therapist | |
Enumeration Date | 2013-03-25 |
Last Update Date | 2023-03-22 |