NPI | 1336902931 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: NC LAC-2252) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: VA 0121001124) |
Enumeration Date | 2024-02-05 |
Last Update Date | 2024-08-01 |