NPI | 1861957789 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: ID ACU-436) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC61172209) |
171100000X Acupuncturist (Licence: OR AC190542) | |
Enumeration Date | 2019-02-05 |
Last Update Date | 2022-04-06 |