NPI | 1548317175 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: NM DOM 775) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: PA AK000703) |
225700000X Massage Therapist (Licence: NM 4307) | |
Enumeration Date | 2007-01-04 |
Last Update Date | 2007-07-08 |