NPI | 1568073617 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 006976) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 012541) |
Enumeration Date | 2020-08-12 |
Last Update Date | 2024-01-12 |