NPI | 1467820571 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 16982) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 56189) |
Enumeration Date | 2015-09-04 |
Last Update Date | 2018-05-22 |