NPI | 1114109071 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: HI ACU1213) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC11658) |
Enumeration Date | 2007-12-03 |
Last Update Date | 2018-02-27 |