NPI | 1306396221 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC 17289) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CO 0002476) |
Enumeration Date | 2016-10-04 |
Last Update Date | 2023-03-17 |