NPI | 1740395797 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: IN 84000034A) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05003768A) |
Enumeration Date | 2006-08-20 |
Last Update Date | 2007-07-08 |