NPI | 1023073897 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M10114) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: ID M10114) |
Enumeration Date | 2006-04-17 |
Last Update Date | 2013-07-24 |