NPI | 1760755078 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: ND 2021-01) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC60179457) |
171100000X Acupuncturist (Licence: OR AC150373) | |
Enumeration Date | 2012-02-16 |
Last Update Date | 2021-10-19 |