NPI | 1538893805 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: GA 494) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 14007) |
Enumeration Date | 2022-07-13 |
Last Update Date | 2022-07-13 |