NPI | 1750934246 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 19960) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: TX AC00725) |
Enumeration Date | 2019-07-23 |
Last Update Date | 2024-09-13 |