NPI | 1417313990 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 005387) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 027737) |
Enumeration Date | 2016-01-13 |
Last Update Date | 2016-01-13 |