NPI | 1790977940 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ LAC-012167) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2007-08-13 |
Last Update Date | 2023-08-15 |