NPI | 1922777978 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 3250) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 16598) |
225700000X Massage Therapist (Licence: FL MA101241) | |
171100000X Acupuncturist (Licence: FL AP4396) | |
Enumeration Date | 2021-09-12 |
Last Update Date | 2022-10-06 |