| NPI | 1598772063 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IN 39000566A) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: IN 80000010A) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2022-09-07 |