NPI | 1558890418 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 005930) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 027555) |
Enumeration Date | 2017-06-05 |
Last Update Date | 2022-07-21 |