NPI | 1831545862 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: CO ACU.0002505) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 17106) |
Enumeration Date | 2016-05-09 |
Last Update Date | 2024-10-14 |