NPI | 1538292008 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP 2677) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA 41564) |
Enumeration Date | 2007-03-14 |
Last Update Date | 2014-07-23 |