| NPI | 1952685752 |
|---|---|
| Former Name | RYAN GAUTHIER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MI 5402000167) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC156213) |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2025-09-10 |