NPI | 1154349348 |
---|---|
Former Name | MATTHEW VAN NGUYEN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 27499) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 9334) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2010-12-06 |