NPI | 1164540308 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: MD U00633) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: MA 281) |
171100000X Acupuncturist (Licence: VA 0121000374) | |
Enumeration Date | 2007-03-26 |
Last Update Date | 2007-07-08 |