| NPI | 1902503980 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NH 299) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NH 7288) |
| Enumeration Date | 2023-02-10 |
| Last Update Date | 2024-06-27 |