NPI | 1275766735 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC 60172364) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC 14600) |
Enumeration Date | 2009-09-01 |
Last Update Date | 2012-12-31 |