NPI | 1811604143 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: MD U03168) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA92237) |
Enumeration Date | 2022-11-07 |
Last Update Date | 2025-06-22 |