| NPI | 1104985316 |
|---|---|
| Former Name | ERNESTO HERNANDEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ 0421) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: AZ 01-628) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2007-07-08 |