NPI | 1073824371 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: WI 673-055) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP2809) |
Enumeration Date | 2010-07-01 |
Last Update Date | 2011-04-15 |