NPI | 1225229917 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 16127) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: NE 16127) |
Enumeration Date | 2007-08-07 |
Last Update Date | 2007-08-08 |