NPI | 1144565417 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: KY TAC93) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC15067) |
Enumeration Date | 2012-11-27 |
Last Update Date | 2015-06-11 |