NPI | 1114226875 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 14101) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: PA AK001287) |
Enumeration Date | 2011-03-21 |
Last Update Date | 2019-02-28 |