NPI | 1730257999 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: HI DOS1751) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: HI ACU580) |
225700000X Massage Therapist (Licence: HI MAT5108) | |
Enumeration Date | 2006-12-04 |
Last Update Date | 2021-09-09 |