NPI | 1902172844 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: WV WV-96161) |
Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: TX L6560998) |
171100000X Acupuncturist (Licence: DC AC500027) | |
Enumeration Date | 2012-03-26 |
Last Update Date | 2018-09-26 |