| NPI | 1033347471 |
|---|---|
| Former Name | TAE YONG PAHNG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: VA 0121000474) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MD U01585) |
| 171100000X Acupuncturist (Licence: DC AC500079) | |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2013-11-22 |