| NPI | 1801662143 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: SC 406) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OH 65.000379) |
| 225700000X Massage Therapist (Licence: OH 33.021313) | |
| 225700000X Massage Therapist (Licence: SC 13236) | |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2023-11-28 |