NPI | 1770093312 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: CO ACU.0002087) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: CO MT.0018561) |
Enumeration Date | 2017-10-10 |
Last Update Date | 2017-10-10 |