NPI | 1649413758 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: MD u01817) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MD R253173) |
Enumeration Date | 2009-04-20 |
Last Update Date | 2023-06-09 |