NPI | 1730502501 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC60437922) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA HP60239225) |
Enumeration Date | 2014-01-29 |
Last Update Date | 2020-04-29 |