NPI | 1720211741 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 12073) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 12073) |
Enumeration Date | 2009-08-25 |
Last Update Date | 2009-08-25 |