| NPI | 1346573847 |
|---|---|
| Former Name | DAE SU SHIN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NC 202) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 4641) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-09-15 |